A Case of with Transient splenic Hot Uptake on $^{99m}Tc$-Methylene Diphosphonate(MDP) Bone Scan Following Blunt Abodominal Trauma with Underlying Liver Cirrhosis

간경변환자에서 복부외상후 일시적으로 관찰된 $^{99m}Tc$-MDP Bone Scan의 비장 섭취 1예

  • Won, Jong-Hyeon (Department of Internal Medicine, Sung Ae General Hospital) ;
  • Kim, Jae-Myung (Department of Internal Medicine, Sung Ae General Hospital) ;
  • Kim, Jung-Han (Department of Internal Medicine, Sung Ae General Hospital) ;
  • Choo, Gil-Yeon (Department of Internal Medicine, Sung Ae General Hospital) ;
  • Park, Seok-Oh (Department of Internal Medicine, Sung Ae General Hospital) ;
  • Sung, Sang-Kyu (Department of Internal Medicine, Sung Ae General Hospital) ;
  • Choi, Dae-Seob (Department of Internal Medicine, Sung Ae General Hospital) ;
  • Kim, Chin-Seung (Department of General Surgery, Sung Ae General Hospital)
  • Published : 1993.11.15

Abstract

We report a case of 33-year-old man with a transient splenic uptake who had traumatic multiple rib fractures and hernoperitoneum combined with underlying liver cirrhosis, liver cirrhosis with liver bed laceration and splenomegaly without any other demonstrable splenic lesion due to traffic accident was found by abdominal ultrasound and surgery. Incidentally, $^{99m}Tc$-MDP Bone scan showed whole prominent splenic uptake, spleen was also visible on $^{99m}Tc$ Tin colloid liver scan. We suggest the splenic uptake of the radionuclide temporary splenic infarct to the transient total splenic infarction or unknown traumatic effect.

저자등은 33세 남자 환자에서 검사실 소견과 복부 전산화 단층촬영, 간 신티그라피 및 골주사, 복부 초음파 및 수술소견을 통해 알콜성 및 C형 간염에 의한 간경화를 동반한 환자가 교통사고로 복부 외상에 의한 간하부열상을 받아 복강내출혈로 입원한 환자에서 일시적으로 골주사소견에서 비장에 섭취를 보이는 것이 복부 비장의 잠재적 외상으로 인한 것으로 사료되며, 비장 비대 외에는 특이소견이 보이지 않으며 기전이 명확하지 않은 골주사상 비장섭취를 보인 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords